Registrant Info

Have you previously attended a retreat, camp or other event with Cedine Ministries?

Yes

No

Church Info

Church Name

Church Location

CityState

Pastor

Group Leader

Roommates

If possible, I would like the following people to be my roommates.

Roommate 1

Roommate 2

Roommate 3

Roommate 4

Specific Housing Request

Full payment and completed registration form required: to reserve a specific housing unit you must complete this registration form along with full payment for each person requesting the unit. Please note housing is assigned as full payment is received. Some units will be reserved as much as a year in advance. We reserve the right to reassign rooms to those who have mobility needs, even if you have paid in full for that room. NOTE: This is only if absolutely necessary. We make every attempt to house you as requested when you pay in full.

1st Choice

2nd Choice

Comments or Requests

Payment

Transfers to another camp MUST be made at least 14 days before the registered camp begins. The payments are transferable to another camp this year or next year depending on availability as long as you have given a 14 day notice. You may transfer payments to an unregistered person of the same gender if you are unable to attend. No payments may be transferred to a person who is already registered. If you are unable to attend, cannot transfer it to an unregistered person, and have not notified us at least two weeks prior to the camp, your money is not refundable or transferable.

Select Amount to Pay*

Since it's before December 31, 2018, you can pay the 2018 early bird price for 2019 retreats if you register now.
Ladies Retreat 1 - March 15, 2019 to March 17, 2019

Pay in Full - LR1 ($30 Off) - $130.00

Pay a Deposit - LR1 - $80.00

Select Amount to Pay*

Since it's before February 15, 2019, you get an early bird discount.
Ladies Retreat 1 - March 15, 2019 to March 17, 2019

Pay in Full - LR1 ($30 Off) - $130.00

Pay a Deposit - LR1 - $80.00

Select Amount to Pay*

(Ladies Retreat 1 - March 15, 2019 to March 17, 2019)

Pay in Full - LR1 - $160.00

Pay a Deposit - LR1 - $80.00

Select Amount to Pay*

Since it's before December 31, 2016, you can pay the 2016 early bird price for 2017 retreats if you pay in full.
(Ladies Retreat 2 - April 21, 2017 to April 23, 2017)

Pay in Full - LR2 ($35 Off) - $125.00

Pay a Deposit - LR2 - $75.00

Select Amount to Pay*

Since it's before March 27, 2019, you get an early bird discount.
(Ladies Retreat 2 - April 26, 2019 to April 28, 2019)

Pay in Full - LR2 ($30 Off) - $130.00

Pay a Deposit - LR2 - $80.00

Select Amount to Pay*

April 26, 2019 to April 28, 2019

Pay in Full - LR2 - $160.00

Pay a Deposit - LR2 - $80.00

Select Amount to Pay*

Since it's before December 31, 2016, you can pay the 2016 early bird price for 2017 retreats if you pay in full.
Ladies Retreat 3 - September 22, 2017 to September 24, 2017)

Pay in Full - LR3 ($35 Off) - $125.00

Pay a Deposit - LR3 - $75.00

Select Amount to Pay*

Since it's before August 21, 2019, you get an early bird discount.
Ladies Retreat 3 - September 20, 2019 to September 22, 2019

Pay in Full - LR3 ($30 Off) - $130.00

Pay a Deposit - LR3 - $80.00

Select Amount to Pay*

Ladies Retreat 3 - September 20, 2019 to September 22, 2019

Pay in Full - LR3 - $160.00

Pay a Deposit - LR3 - $80.00

Select Amount to Pay*

Since it's before December 31, 2016, you can pay the 2016 early bird price for 2017 retreats if you pay in full.
Ladies Retreat 4 - October 6, 2017 to October 8, 2017)

Pay in Full - LR4 ($35 Off) - $125.00

Pay a Deposit - LR4 - $75.00

Select Amount to Pay*

Since it's before September 11, 2019, you get an early bird discount.
Ladies Retreat 4 - October 11, 2019 to October 13, 2019

Pay in Full - LR4 ($30 off) - $130.00

Pay a Deposit - LR4 - $80.00

Select Amount to Pay*

Ladies Retreat 4 - October 11, 2019 to October 13, 2019

Pay in Full - LR4 - $160.00

Pay a Deposit - LR4 - $80.00

Select Amount to Pay*

Since it's before December 31, 2016, you can pay the 2016 early bird price for 2017 retreats if you pay in full.
(Ladies Retreat 5 - November 3, 2017 to November 5, 2017)

Pay in Full - LR5 ($35 Off) - $125.00

Pay a Deposit - LR5 - $75.00

Select Amount to Pay*

Since it's before October 2, 2019, you get an early bird discount.
Ladies Retreat 5 - November 1, 2019 to November 3, 2019

Pay in Full - LR5 ($30 Off) - $130.00

Pay a Deposit - LR5 - $80.00

Select Amount to Pay*

Ladies Retreat 5 - November 1, 2019 to November 3, 2019

Pay in Full - LR5 - $160.00

Pay a Deposit - LR5 - $80.00

Credit Card Info

American Express

Discover

MasterCard

Visa

Card NumberExpiration DateSecurity CodeCardholder Name

If you have a coupon code, enter it here

Cedine verifies coupons for each registration. If you are using a coupon without authorization, you will be responsible for full payment of fees.

Total

$0.00

Camper Agreement*

I understand and agree to abide by all the camp policies

I agree that the submission of this online form, along with my payment, indicates that I understand that pictures will be taken during my time at Cedine. I give my permission for the use of such pictures for the promotion of Cedine's camp, retreat or conference ministry through video, print or digital media.

Refund and Transfer Policy*

I have read and understand the refund and transfer policy.

I agree that the submission of this online form, along with my payment, indicates that I understand the refund and transfer policy. Transfers to another retreat MUST be made at least 14 days before the registered retreat begins. The payments are transferable to another retreat this year or next year depending on availability as long as you have given a 14 day notice. You may transfer payments to an unregistered person if you are unable to attend. No payments may be transferred to a person who is already registered. If you are unable to attend, cannot transfer it to an unregistered person, and have not notified us at least two weeks prior to the retreat, your money is not refundable or transferable.